Lec 6 Management of Neurologic and MSK conditions Flashcards
how is the MACS assessment normally preformed? (Manual ability classification system)
By asking someone who knows the child and how that child typically performs
(not by direct observation)
What kind of assessment can categorize a 4-18 year old with CPs ability to handle objects in everyday activities
MACS- Manual Ability Classification System
Child handles objects easily and successfully, maybe has some limitation of speed and accuracy but does not restrict independence
MACS 1
What is the distinction between MACS 1 and MACS 2
MACS 1 children might have speed/accuracy difficulty with small/heavy/fragile objects…
MACS 2 have speed/accuracy difficulties with all objects - these children try to simplify handling of objects (example: use surface for support instead of using 2 hands to handle the object)
Child handles most objects but with reduced quality or speed of movement
MACS 2
Child handles objects w/ difficulty and needs help to prepare or modify activity
MACS 3
What is the distinction between MACS 2 and MACS 3
MACS 3 cannot preform certain activities bc their degree of dependence is related to environmental context
Child handles a limited selection of easily managed objects in adapted situations
MACS 4
Child does not handle objects and is severely limited to preform even simple actions
MACS 5
What is the distinction between MACS 4 and MACS 5
Children at level 4 may preform part of an activity with continuous assistance
children at level 5 might at best only be able to do a simple movement in special situations like pushing a button
What measure is designed to describe functional mobility in children with CP between the ages of 4-18
FMS Functional Mobility Scale
What is unique about the FMS?
Gives you the freedom to score mobility across 3 different distances (mobility in home, mobility at school, mobility in wider community)
FMS scores:
6: Independent on all surfaces
5:independent on level surfaces
4: uses sticks (1 or 2)
3: Uses crutches
2: uses walker or frame
1: uses wheelchair
C: Crawls
N: Does not apply
FMS score 5
Independent on level surfaces
FMS score 2
Uses walker or frame
FMS Score 3
Uses crutches
FMS score 1
Uses wheelchair
the GMFM-88(Original) is valid for what ages?
What about the new GMFM-66?
5 months to 16 years
5 years to 16 years
T or F: The GMFM has been validated for not only CP, but also downsyndrome
T
note: emerging evidence to use it for TBI, SMA, OI, and other diagnosis
What dimensions are included in the GMFM?
How is it scored?
Lying+rolling
Sitting
Crawling/kneeling
standing
walking/running/jumping
Scores:
0: does not initiate task
1: initiates task
2: partially completes task
3: Completes task
NT: not tested
The GMFM is appropriate for those with motor skills at or below ______________________
at or below those of a 5 year old child without any motor disability
So even though it’s valid for up to 16 years, you should only use it for children w/ skills of a 5 year old
What equipment do you need for the GMFM
Mat, Bench, Access to stairs (at least 5 steps)
and space for a 4.5 meter run
Which should be used for testing children that are using ambulatory aids/ orthosis/shoes: GMFM-66 or GMFM 88
GMFM- 88,
the GMFM-66 is only for barefoot
Which is quicker to administer: GMFM-66 or GMFM-88
GMFM-66 is shorter and it doesn’t require all items to be assessed to get accurate score
